Tamella Buss Cassis MD PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

38026 Issued in KY

Legal business name

TAMELLA BUSS CASSIS MD PLLC

Practice address

9301 Dayflower St
Suite 100
Prospect, KY 40059-7585

Phone

(502) 326-8588

Fax

(502) 326-8589

NPI assigned

Jan 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tamella Buss Cassis, M.D.NPI 1962408088

Title

President

Phone

(502) 326-8588

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cassis Dermatology & Aesthetics Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamella Buss Cassis, MD

  • Dermatology Physician
  • Prospect, KY
  • NPI 1962408088
  Medicare reassignment Care Compare group NPD Authorized official
• Nitisha Malhotra, FNP

  • Nurse Practitioner
  • Prospect, KY
  • NPI 1841153657
  Medicare reassignment Care Compare group NPD
• Josie Fearneyhough Saunders, APRN

  • Nurse Practitioner
  • Prospect, KY
  • NPI 1972199271
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1669657151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 DAYFLOWER ST",
            "address_2": "SUITE 100",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597585",
            "telephone_number": "502-326-8588",
            "fax_number": "502-326-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 DAYFLOWER ST",
            "address_2": "SUITE 100",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400597585",
            "telephone_number": "502-326-8588",
            "fax_number": "502-326-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMELLA BUSS CASSIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "CASSIS",
        "authorized_official_first_name": "TAMELLA",
        "authorized_official_middle_name": "BUSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-326-8588",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "KY",
            "license": "38026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100048460",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cassis Dermatology & Aesthetics Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie M. Russell MD PSC
• Laura Elaine Stone, P.T.
• Nicole B Strecker, M.D.
• Rafael Angel Suarez, DMD
• Melanie Kim Summers, LPCC
• Taylor Services
• Bailee Taylor
• Brigid Shea Taylor
• Tina Renee Tembeleska, M.S.,CCC-SLP
• Thames Healthcare Group, LLC

• Dermatology Physician in Prospect, KY
• Providers in Prospect, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.